Breastfeeding and cardiovascular disease hospitalisation and mortality in parous women: Evidence from a large Australian cohort study.

Few studies have investigated the longitudinal association between breastfeeding and maternal cardiovascular disease (CVD) outcomes. This study examined the association between breastfeeding and CVD hospitalization and mortality in a large Australian cohort.This research was funded by a Heart Foundation Cardiovascular Research Network grant awarded to Bauman and Ding. Nguyen is supported by an Australian Postgraduate Award and a University of Sydney Merit Award. Ding is supported by a Heart Foundation Future Leader Fellowship and a University of Sydney SOAR Fellowship. Nassar is supported by a National Health and Medical Research Council Career Development Fellowship (APP1067066)

Breastfeeding Knowledge and Factors Associated with Breastfeeding Initiation among Post-partum Mothers in Selected Areas in Ibadan, Nigeria

Breastfeeding knowledge of the mothers and support given to them by health care providers after delivery can influence mothers’ attitude to breastfeeding and their willingness to initiate breastfeeding early. The study assessed breastfeeding knowledge and factors associated with breastfeeding initiation among postpartum mothers in urban and rural areas of Ibadan. This cross-sectional study was conducted among three hundred and sixty (360) postpartum mothers who attended Primary and Private Health Centres in rural and urban areas of Ibadan, Oyo State, Nigeria. A semi-structured, interviewer-administered questionnaire was used to collect information on the socio-demographic characteristics, knowledge of breastfeeding, intention to breastfeed and factors which influence the breastfeeding initiation. Majority of the respondents were young adults within the age of 25-35 years, with mean age of 28.9±5.73years. Two third (71.4%) of them had good knowledge of breastfeeding and only 48.6% initiated breastfeeding early. A positive significant association was observed between breastfeeding knowledge and breastfeeding initiation (p<0.05). Complication during or before childbirth, mothers being educated by the health workers on breastfeeding initiation, help given to the mothers during initiation of breastfeeding by healthcare provider and rooming-in of mother and child were found to be significantly associated with breastfeeding initiation among the postpartum mothers (p<0.05). Adequate knowledge on the benefits of breastfeeding should be promoted among pregnant women during antenatal care and adequate supports should be given to postpartum mothers after delivery to enhance early breastfeeding initiation and practice of adequate breastfeeding

Aspects of cardiovascular risk in an Australian population study

Prevention of cardiovascular disease (CVD), a leading cause of death in men and women, is both a global and national public health priority. Prevention efforts have generally focused on well-known lifestyle (e.g., physical inactivity, unhealthy diet, smoking) and metabolic (e.g., overweight/obesity, hypertension, hyperlipidaemia) risk factors. It is also important for public health strategies to consider emerging risk factors, innovative approaches to risk factors, and evidence in middle-aged men and women, to develop effective prevention strategies. This thesis explored innovative aspects of cardiovascular risk in a large cohort of middle-aged and older Australian men and women (“the 45 and Up Study”) by examining: 1) emerging or lesser known risk factors such as raw vegetable intake (Chapter 3), sedentary behaviour (Chapter 4, Appendix 1) and psychological distress (Chapter 5); 2) the single versus joint influence of lifestyle risk factors on incident type 2 diabetes (Chapter 4, Appendix 1) and hypertension (Chapter 5); 3) potential gender differences (Chapters 3-5, Appendix 1), and female-specific behaviours such as breastfeeding (Chapters 6-7). Overall, findings support Australian recommendations for fruit and vegetable intake, physical activity, alcohol intake and infant breastfeeding. While the importance of reducing known risk factors for CVD prevention was evident, the role of raw vegetable intake, sedentary behaviour and psychological distress was inconclusive. Breastfeeding was associated with a lower maternal risk of CVD. Findings confirmed that adopting a cluster of healthy lifestyle behaviours can reduce CVD risk in the middle-aged and older population. Potential gender differences were explored and identified. This thesis contributes to the literature by exploring innovative aspects of cardiovascular risk that are relevant to middle-aged adults, particularly women, as well as informs health care providers, researchers and policy makers

Factors influencinlag the microbial composition of human milk

Aside from nutritional components, human milk is rich in microorganisms. Through breastfeeding these microorganisms are introduced to the infant gut where they may transiently or persistently colonize it. Therefore, the human milk microbiota may be an important factor which shapes the infant gut microbiota further influencing infant health and disease. In the current review we aim to give a brief updated insight into the putative origin of the human milk microbiota, its constituents and the possible factors that shape it. Understanding the factors that determine the human milk microbiota composition and function will aid developing optimal postnatal feeding and intervention strategies to reduce the risk of communicable and noncommunicable diseases. (C) 2021 The Authors. Published by Elsevier Inc.Peer reviewe

Breastfeeding Behavior and LATCH Score in Postpartum Mothers days 1-7 with Overweight and Obesity

Background: Lifestyle changes during pregnancy tend to occur less frequently, and unhealthy eating patterns resulting from consuming fast food can trigger overweight and obesity. Existing research has revealed the influence of obesity on delayed lactogenesis II and low milk production but has not revealed the influence of obesity on breastfeeding behavior and the LATCH score as an early identification of breastfeeding success. Purpose: This study aim to analyzing the differences between overweight and obesity on breastfeeding behavior and LATCH scores in postpartum mothers on 1–7 days. Method: This research uses an analytical design with a observational approach. The sample for this study was all third-trimester primigravida mothers with normal pregnancies who checked themselves at the Kediri City Community Health Center and met the research inclusion criteria amount 86 samples. Breastfeeding behavior data and LATCH scores evaluate use quistionare were assessed on days 1, 3, and 7 days postpartum. Data analysis using SPSS version 26 with paired t test. Results: The breastfeeding behavior scores of both groups did not different at 1 day (45 ± 3.34 vs. 45 ± 3.34; P = 0.760), 3 days (78 ± 5.78 vs. 67 ± 9.03; P = 0.213), and 7 days (10 ± 0.59 vs. 8 ± 0.50; P = 0.087). There was no difference in LATCH scores at 1 day (3 ± 0.67 vs. 3 ± 0.45; P = 0.646) and 3 days postpartum (78 ± 5.78 vs. 6 ± 0.03; P = 0.098), but at 7 days postpartum between the two groups were significantly different (10 ± 0.59 vs. 8 ± 0.50; P < 0.001). Conclusion: The breastfeeding behavior and LATCH score can be used to predict difficulties in breastfeeding experienced by overweight and obese mothers postpartum for 1–7 days. Having an appropriate systematic assessment can help with timely intervention and improvements in breastfeeding techniques so increase breastfeeding success

Breastfeeding Is Associated With a Reduced Maternal Cardiovascular Risk:Systematic Review and Meta-Analysis Involving Data From 8 Studies and 1 192 700 Parous Women

BACKGROUND: Breastfeeding has been robustly linked to reduced maternal risk of breast cancer, ovarian cancer, and type 2 diabetes. We herein systematically reviewed the published evidence on the association of breastfeeding with maternal risk of cardiovascular disease (CVD) outcomes. METHODS AND RESULTS: Our systematic search of PubMed and Web of Science of articles published up to April 16, 2021, identified 8 relevant prospective studies involving 1 192 700 parous women (weighted mean age: 51.3 years at study entry, 24.6 years at first birth; weighted mean number of births: 2.3). A total of 982 566 women (82%) reported having ever breastfed (weighted mean lifetime duration of breastfeeding: 15.6 months). During a weighted median follow‐up of 10.3 years, 54 226 CVD, 26 913 coronary heart disease, 30 843 stroke, and 10 766 fatal CVD events were recorded. In a random‐effects meta‐analysis, the pooled multivariable‐adjusted hazard ratios comparing parous women who ever breastfed to those who never breastfed were 0.89 for CVD (95% CI, 0.83–0.95; I(2)=79.4%), 0.86 for coronary heart disease (95% CI, 0.78–0.95; I(2)=79.7%), 0.88 for stroke (95% CI, 0.79–0.99; I(2)=79.6%), and 0.83 for fatal CVD (95% CI, 0.76–0.92; I(2)=47.7%). The quality of the evidence assessed with the Grading of Recommendations Assessment, Development, and Evaluation tool ranged from very low to moderate, which was mainly driven by high between‐studies heterogeneity. Strengths of associations did not differ by mean age at study entry, median follow‐up duration, mean parity, level of adjustment, study quality, or geographical region. A progressive risk reduction of all CVD outcomes with lifetime durations of breastfeeding from 0 up to 12 months was found, with some uncertainty about shapes of associations for longer durations. CONCLUSIONS: Breastfeeding was associated with reduced maternal risk of CVD outcomes

CAN MYTHS, RITUALS, AND MAGIC INCREASE SELF-EFFICACY AND CONSUM-ER BEHAVIOR FOR INCREASING A HEALTHY LIFESTYLE?

Nowadays, the healthy lifestyle of modern society has increased. However, modern society still considers myths, rituals, and magic to improve their healthy lifestyle. This study aims to discover how myths, rituals, and magic, which are part of the consumer behavior culture, increase self-efficacy and healthy lifestyle behavior in modern society. This research used a qualitative approach based on consumer behavior and self-efficacy in the healthy lifestyle for breastfeeding mothers. In-depth interviews were conducted to determine the self-efficacy among eleven breastfeeding mothers in improving a healthy lifestyle. The coding process for all participants used NVivo to analyze the interviews' results. The interviews indicated that most informants still believe in myths, rituals, and magic about breastfeeding mothers. It indicates that Indonesians having a solid culture, still believe that myths, rituals, and magic could be considered in increasing self-efficacy and healthy lifestyle behavior. So, a healthy lifestyle is currently a significant concern in the community, especially during the Covid-19 pandemic. Covid-19 has changed many routines in ways that no one could anticipate so that it can reduce the community's healthy lifestyle, especially for breastfeeding mothers. Indonesian, who currently live in the millennial era, still consider that culture as one of the considerations in improving healthy living behavior. Further research should consider how the sustainability of healthy lifestyle behavior is seen from social capital through knowledge mechanisms regarding current healthy environmental issues and consumer involvement in the environment. In addition, paying attention to ethics and ethnicity in society is crucial in discussing community culture, especially when considering consumers' healthy lifestyles

Documento de consenso de la Sociedad Española de Obstetricia y Ginecologia (SEGO) y el Comité Español Interdisciplinario para la Prevención Vascular (CEIPV). Ventana de oportunidad: prevención del riesgo vascular en la mujer. Resultados adversos del embarazo y riesgo de enfermedad vascular

Este documento resume la evidencia que existe entre los resultados adversos del embarazo (RAE), tales como son los trastornos hipertensivos, el parto pretérmino, la diabetes gestacional, los defectos en el crecimiento fetal (feto pequeño para la edad gestacional y/o restricción del crecimiento), el desprendimiento de placenta y la pérdida fetal, y el riesgo que tiene una persona gestante de desarrollar factores de riesgo vascular (RV) que pueden terminar provocando enfermedad vascular (EV) futura: cardiopatía coronaria, accidente cerebrovascular, enfermedad vascular periférica e insuficiencia cardíaca. Asimismo, este documento destaca la importancia de saber reconocer los RAE cuando se evalúa el RV en mujeres. Un antecedente de RAE es un indicador suficiente para hacer una prevención primaria de EV. De hecho, adoptar una dieta saludable y aumentar la actividad física entre las mujeres con RAE, de inicio en el embarazo y/o postparto y manteniéndolo a lo largo de la vida, son intervenciones importantes que permiten disminuir el RV. Por otro lado, la lactancia materna también puede disminuir el RV posterior de la mujer, incluyendo menos riesgo de mortalidad. Estudios futuros que evalúen el uso del ácido acetilsalicílico, las estatinas y la metformina, entre otros, en las mujeres con antecedentes de RAE podrían reforzar las recomendaciones sobre el uso de la farmacoterapia en la prevención primaria de la EV entre estas pacientes. Existen diferentes opciones dentro de los sistemas de salud para mejorar la transición de la atención de las mujeres con RAE entre los diferentes profesionales e implementar estrategias para reducir su RV a largo plazo. Una posible estrategia podría ser la incorporación del concepto del cuarto trimestre en las recomendaciones clínicas y las políticas de atención de la salud.This document summarises the evidence regarding the association between adverse pregnancy outcomes (APOs), such as hypertensive disorders, preterm birth, gestational diabetes, fetal growth defects (small for gestational age and/or fetal growth restriction), placental abruption, fetal loss, and the risk that a pregnant individual in developing vascular risk factors (VR) that may lead to future vascular disease (VD): coronary heart disease, stroke, peripheral vascular disease, and heart failure. Furthermore, this document emphasises the importance of recognising APOs when assessing VR in women. A history of APOs serves as a sufficient indicator for primary prevention of VD. In fact, adopting a healthy diet and increasing physical activity among women with APOs, starting during pregnancy and/or postpartum, and maintaining it throughout life are significant interventions that can reduce VR. On the other hand, breastfeeding can also reduce the future VR of women, including a lower risk of mortality. Future studies evaluating the use of aspirin, statins, and metformin, among others, in women with a history of APOs could strengthen recommendations regarding pharmacotherapy for primary prevention of VD in these patients. Various healthcare system options exist to improve the transition of care for women with APOs between different healthcare professionals and implement long-term VR reduction strategies. One potential process could involve incorporating the fourth-trimester concept into clinical recommendations and healthcare policies

Opportunity window: vascular risk prevention in women. Adverse pregnancy outcomes and risk of vascular disease

Documento de consenso de la Sociedad Española de Obstetricia y Ginecologia (SEGO) y el Comité Español Interdisciplinario para la Prevención Vascular (CEIPV).[ES] Este documento resume la evidencia que existe entre los resultados adversos del embarazo (RAE), tales como son los trastornos hipertensivos, el parto pretérmino, la diabetes gestacional, los defectos en el crecimiento fetal (feto pequeño para la edad gestacional y/o restricción del crecimiento), el despren dimiento de placenta y la pérdida fetal, y el riesgo que tiene una persona gestante de desarrollar factores de riesgo vascular (RV) que pueden terminar provocando enfermedad vascular (EV) futura: cardiopatía coronaria, accidente cerebrovascular, enfermedad vascular periférica e insuficiencia cardíaca. Asimismo, este documento destaca la importancia de saber reconocer los RAE cuando se evalúa el RV en mujeres. Un antecedente de RAE es un indicador suficiente para hacer una prevención primaria de EV. De hecho, adoptar una dieta saludable y aumentar la actividad física entre las mujeres con RAE, de inicio en el embarazo y/o postparto y manteniéndolo a lo largo de la vida, son intervenciones importantes que permiten disminuir el RV. Por otro lado, la lactancia materna también puede disminuir el RV posterior de la mujer, incluyendo menos riesgo de mortalidad. Estudios futuros que evalúen el uso del ácido acetilsalicílico, las estatinas y la metformina, entre otros, en las mujeres con antecedentes de RAE podrían reforzar las recomendaciones sobre el uso de la farmacoterapia en la prevención primaria de la EV entre estas pacientes. Existen diferentes opciones dentro de los sistemas de salud para mejorar la transición de la atención de las mujeres con RAE entre los diferentes profesionales e implementar estrategias para reducir su RV a largo plazo. Una posible estrategia podría ser la incorporación del concepto del cuarto trimestre en las recomendaciones clínicas y las políticas de atención de la salud. [EN] This document summarises the evidence regarding the association between adverse pregnancy outcomes (APOs), such as hypertensive disorders, preterm birth, gestational diabetes, fetal growth defects (small for gestational age and/or fetal growth restriction), placental abruption, fetal loss, and the risk that a pregnant individual in developing vascular risk factors (VR) that may lead to future vascular disease (VD): coronary heart disease, stroke, peripheral vascular disease, and heart failure. Furthermore, this document emphasises the importance of recognising APOs when assessing VR in women. A history of APOs serves as a sufficient indicator for primary prevention of VD. In fact, adopting a healthy diet and increasing physical activity among women with APOs, starting during pregnancy and/or postpartum, and maintaining it throughout life are significant interventions that can reduce VR. On the other hand, breastfeeding can also reduce the future VR of women, including a lower risk of mortality. Future studies evaluating the use of aspirin, statins, and metformin, among others, in women with a history of APOs could strengthen recommendations regarding pharmacotherapy for primary prevention of VD in these patients. Various healthcare system options exist to improve the transition of care for women with APOs between different healthcare professionals and implement long-term VR reduction strategies. One potential process could involve incorporating the fourth-trimester concept into clinical recommendations and healthcare policies.S